|
Tc-99m sestamibi p study dose
|
$350.14 |
$350.14 |
$350.14 |
$287.20
|
|
Tc-99m sulfur colloid
|
$420.15 |
$420.15 |
$420.15 |
$245.70
|
|
Tc-99m tilmanocept diag
|
$1,549.94 |
$1,549.94 |
$1,549.94 |
$985.60
|
|
T cells absolute cd4/cd8 including ratio
|
$122.65 |
$122.65 |
$122.65 |
$185.28
|
|
T cells absolute cd 4 count
|
$136.24 |
$136.24 |
$136.24 |
$111.20
|
|
T cells total count
|
$122.65 |
$122.65 |
$122.65 |
$130.35
|
|
Test for chlorohydrocarbons
|
$12.98 |
$12.98 |
$12.98 |
$61.60
|
|
Test stress cardiovascular tracing only
|
$576.78 |
$576.78 |
$576.78 |
$953.40
|
|
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe
|
$25.14 |
$25.14 |
$25.14 |
$8,737.05
|
|
Theophylline therapeutic drug level
|
$98.83 |
$98.83 |
$98.83 |
$108.00
|
|
Therapy Activity Training (each 15 minutes)
|
$67.29 |
$67.29 |
$67.29 |
$101.85
|
|
Therapy Exercise Session (each 15 minutes)
|
$67.29 |
$67.29 |
$67.29 |
$98.58
|
|
Therapy nutrition individual initial f2f w/patient each 15 minutes
|
$57.40 |
$57.40 |
$57.40 |
$57.50
|
|
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes
|
$68.39 |
$68.39 |
$68.39 |
$50.40
|
|
Ther nma rdctj intus/obstrcj
|
$317.36 |
$317.36 |
$317.36 |
$538.88
|
|
Ther/proph/diag inj ia
|
$67.02 |
$67.02 |
$67.02 |
$247.33
|
|
Thigh Bone (Femur) X-ray (both sides)
|
$271.08 |
$271.08 |
$271.08 |
$314.50
|
|
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides)
|
$1,258.15 |
$1,258.15 |
$1,258.15 |
$1,733.65
|
|
Three-Phase Bone Scan (Nuclear Medicine)
|
$1,383.92 |
$1,383.92 |
$1,383.92 |
$1,684.80
|
|
Thrombin time
|
$41.99 |
$41.99 |
$41.99 |
$54.18
|
|
Thromboplastin time partial (ptt) substitution fractions each
|
$170.51 |
$170.51 |
$170.51 |
$61.52
|
|
Thyroglobulin antibody
|
$194.06 |
$194.06 |
$194.06 |
$82.73
|
|
Thyroid (TSH) Test
|
$113.80 |
$113.80 |
$113.80 |
$112.67
|
|
Thyroid Ultrasound
|
$547.25 |
$547.25 |
$547.25 |
$588.50
|
|
Thyroid uptake measurement
|
$796.03 |
$796.03 |
$796.03 |
$591.25
|
|
Tilt table study
|
$1,129.81 |
$1,129.81 |
$1,129.81 |
$1,561.82
|
|
Tissue transglutaminase iga
|
$24.49 |
$24.49 |
$24.49 |
$44.80
|
|
Tixagev and cilgav inj
|
$371.78 |
$371.78 |
$371.78 |
$241.92
|
|
Tocilizumab 162 mg/0.9 ml subcutaneous pen injector
|
$10.14 |
$10.14 |
$10.14 |
$5,258.52
|
|
Toe X-ray (both feet)
|
$167.86 |
$167.86 |
$167.86 |
$258.65
|
|
Tomosynthesis breast diagnostic left
|
$53.98 |
$53.98 |
$53.98 |
$74.10
|
|
Tomosynthesis breast screen bilateral
|
$53.98 |
$53.98 |
$53.98 |
$74.10
|
|
Total tau
|
$230.00 |
$230.00 |
$230.00 |
$312.50
|
|
Toxoplasma antibody igg
|
$120.41 |
$120.41 |
$120.41 |
$91.65
|
|
Toxoplasma antibody igm
|
$176.39 |
$176.39 |
$176.39 |
$88.00
|
|
Tpmt gene com vrnts
|
$429.88 |
$429.88 |
$429.88 |
$371.80
|
|
Tprnl plmt biodegrdabl matrl
|
$11,599.01 |
$11,599.01 |
$11,599.01 |
$7,144.80
|
|
Transferrin
|
$125.58 |
$125.58 |
$125.58 |
$82.00
|
|
Transvaginal Pelvic Ultrasound (not pregnancy)
|
$740.36 |
$740.36 |
$740.36 |
$560.92
|
|
Transvaginal Pregnancy Ultrasound
|
$466.73 |
$466.73 |
$466.73 |
$501.60
|
|
Treat ankle dislocation
|
$2,863.52 |
$2,863.52 |
$2,863.52 |
$2,358.40
|
|
Treat elbow dislocation
|
$2,863.52 |
$2,863.52 |
$2,863.52 |
$2,311.20
|
|
Treat elbow fracture
|
$4,219.38 |
$4,219.38 |
$4,219.38 |
$2,027.40
|
|
Treat fracture of radius
|
$2,863.52 |
$2,863.52 |
$2,863.52 |
$1,821.60
|
|
Treat hip dislocation
|
$4,283.02 |
$4,283.02 |
$4,283.02 |
$2,211.05
|
|
Treat humerus fracture
|
$4,283.02 |
$4,283.02 |
$4,283.02 |
$1,790.00
|
|
Treat knee fracture 27530
|
$662.02 |
$662.02 |
$662.02 |
$550.73
|
|
Treatment incomplete abortion completed surgically any trimester
|
$8,180.93 |
$8,180.93 |
$8,180.93 |
$3,928.20
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour
|
$219.32 |
$219.32 |
$219.32 |
$228.00
|
|
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour
|
$116.35 |
$116.35 |
$116.35 |
$147.48
|
|
Treatment of ankle fracture 27786
|
$444.35 |
$444.35 |
$444.35 |
$528.00
|
|
Treatment of choroid lesion
|
$1,309.28 |
$1,309.28 |
$1,309.28 |
$1,253.20
|
|
Treatment of thigh fracture
|
$33.68 |
$33.68 |
$33.68 |
$548.90
|
|
Treatment of toe fracture 28510
|
$715.15 |
$715.15 |
$715.15 |
$371.40
|
|
Treat thigh fracture
|
$656.57 |
$656.57 |
$656.57 |
$618.80
|
|
Treat wrist dislocation
|
$439.12 |
$439.12 |
$439.12 |
$656.25
|
|
Treponema pallidum antibody
|
$42.13 |
$42.13 |
$42.13 |
$72.05
|
|
Trg gene rearrangement anal
|
$428.05 |
$428.05 |
$428.05 |
$455.70
|
|
Triamcinolone acetonide 40 mg/ml suspension for injection
|
$3.65 |
$3.65 |
$3.65 |
$43.00
|
|
Trichinella antibody
|
$39.99 |
$39.99 |
$39.99 |
$70.65
|
|
#tricyclicantidprssnt
|
$111.36 |
$111.36 |
$111.36 |
$50.54
|
|
Triglycerides
|
$54.88 |
$54.88 |
$54.88 |
$58.05
|
|
Trim nondyst nails
|
$141.78 |
$141.78 |
$141.78 |
$114.48
|
|
Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm
|
$2,048.16 |
$2,048.16 |
$2,048.16 |
$2,527.20
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm
|
$4,771.98 |
$4,771.98 |
$4,771.98 |
$2,486.75
|
|
Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/<
|
$4,771.98 |
$4,771.98 |
$4,771.98 |
$2,406.77
|
|
Troponin quantitative
|
$155.79 |
$155.79 |
$155.79 |
$127.20
|
|
Tte w or without contr, cont ecg
|
$2,324.25 |
$2,324.25 |
$2,324.25 |
$2,075.90
|
|
Tx closed hip disl traumatic without anes
|
$581.07 |
$581.07 |
$581.07 |
$586.80
|
|
Tx closed tib fx proximal w/w/o manip w/skel trac
|
$5,565.22 |
$5,565.22 |
$5,565.22 |
$3,977.49
|
|
Tx closed tib shaft fx without manip
|
$463.22 |
$463.22 |
$463.22 |
$535.60
|
|
Tx tarsal bone fx without manip 28450
|
$516.72 |
$516.72 |
$516.72 |
$419.73
|
|
Tympanostomy/ven tube/loc/top anes 69433
|
$1,124.27 |
$1,124.27 |
$1,124.27 |
$911.43
|
|
Ugt1a1 gene analy common variants
|
$456.44 |
$456.44 |
$456.44 |
$438.75
|
|
Ultrasound breast complete
|
$518.56 |
$518.56 |
$518.56 |
$532.00
|
|
Ultrasound breast unilateral limited (both sides)
|
$358.40 |
$358.40 |
$358.40 |
$452.40
|
|
Ultrasound doppler velocimetry fetal umbilical artery
|
$263.64 |
$263.64 |
$263.64 |
$338.00
|
|
Ultrasound dx ophth b-scan
|
$287.69 |
$287.69 |
$287.69 |
$296.80
|
|
Ultrasound elastography parenchyma
|
$205.99 |
$205.99 |
$205.99 |
$313.95
|
|
Ultrasound encephalogram
|
$480.43 |
$480.43 |
$480.43 |
$494.92
|
|
Ultrasound fetal biophysical profile without non-stress testing
|
$550.68 |
$550.68 |
$550.68 |
$476.94
|
|
Ultrasound Guidance for a Needle Procedure
|
$629.03 |
$629.03 |
$629.03 |
$720.15
|
|
Ultrasound guidance for vascular access
|
$292.32 |
$292.32 |
$292.32 |
$388.08
|
|
Ultrasound hips infant dynamic
|
$762.18 |
$762.18 |
$762.18 |
$403.88
|
|
Ultrasound infant hips ltd without stress
|
$345.15 |
$345.15 |
$345.15 |
$311.25
|
|
Ultrasound joint complete left
|
$592.63 |
$592.63 |
$592.63 |
$557.99
|
|
Ultrasound nrv&acc strux 1xtr compre
|
$253.19 |
$253.19 |
$253.19 |
$277.80
|
|
Ultrasound ob >=14wks ea addl gest
|
$360.83 |
$360.83 |
$360.83 |
$409.20
|
|
Ultrasound pregnant uterus < 14 weeks each additional gestation
|
$486.45 |
$486.45 |
$486.45 |
$335.00
|
|
Ultrasound pregnant uterus detailed fetal exam single/1st gestation
|
$672.02 |
$672.02 |
$672.02 |
$707.20
|
|
Ultrasound pregnant uterus follow up per fetus
|
$273.94 |
$273.94 |
$273.94 |
$425.60
|
|
Ultrasound spinal canal and contents
|
$829.00 |
$829.00 |
$829.00 |
$463.00
|
|
Ultrasound transabd ea addl gest
|
$758.36 |
$758.36 |
$758.36 |
$421.00
|
|
Unlisted misc path test
|
$106.36 |
$106.36 |
$106.36 |
$89.40
|
|
Unlisted procedure microbiology
|
$977.50 |
$977.50 |
$977.50 |
$530.00
|
|
Unlisted transfusion med px
|
$28.69 |
$28.69 |
$28.69 |
$147.50
|
|
Unlisted ultrasound procedure
|
$200.99 |
$200.99 |
$200.99 |
$335.00
|
|
Upper Arm (Humerus) X-ray (left side)
|
$248.35 |
$248.35 |
$248.35 |
$309.31
|
|
Upper Back (Thoracic Spine) CT Scan (with contrast)
|
$1,694.54 |
$1,694.54 |
$1,694.54 |
$1,669.00
|
|
Upper Back (Thoracic Spine) CT Scan (without contrast)
|
$1,386.34 |
$1,386.34 |
$1,386.34 |
$1,425.85
|
